Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MICHELE LYNN MATERA, ATC, LAT
Active Sole ProprietorMS. MICHELE LYNN MATERA, ATC, LAT is a Athletic Trainer healthcare provider located in BAY SHORE, New York. NPI 1972937704 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BAY SHORE, NY
Registration Details
- NPI Number
- 1972937704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2013 (12.926145972743 yrs)
- Last Updated
- Aug 28, 2013
- License
-
0021391 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
84 E LAKELAND STBAY SHORE, NY, 117062028Browse NY providers · Browse ZIP 11706
- Phone
- 6316014113
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BAY SHORE, NY
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER LAROSE | — | 1225662406 |
| KAYLA SAMALA | — | 1326769373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.